Individual
HANNAH PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6500 NORTH FWY STE 111, HOUSTON, TX 77076-2941
(713) 694-6789
(713) 694-2789
Mailing address
6500 NORTH FWY STE 111, HOUSTON, TX 77076-2941
(713) 694-6789
(713) 694-2789
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
13893
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143667
—
TX
Enumeration date
05/01/2007
Last updated
07/09/2007
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